Gynecomastia: causes, diagnosis and treatment


  • What is gynecomastia
  • What are the causes of gynecomastia
  • Danger of gynecomastia
  • How gynecomastia is diagnosed
  • How is the treatment of gynecomastia

  • What is gynecomastia

    Gynecomastia - this is an increase in the chest or
    glands in men. True gynecomastia is due to growth
    iron fabric (breast fabric), false gynecomastia is associated with
    massive fatty sediments in obesity that increase the volume
    chest gland.

    The main manifestation of gynecomastia is the appearance of a seal in
    chest fabrics and its increase. Unlike adipose tissue,
    Fiberadipal fabric or tissue formed during gynecomastia has
    Higher density.

    Gynecomastia may be accompanied by painful sensations when
    Dotragivania. Pains are due to rapid growth of iron fabric.
    Subsequently pain can decrease and disappear.

    What are the causes of gynecomastia

    True gynecomastia
    arises as a result of the prevalence in the body of a man of female sex
    Gormons. Norma these hormones, as well as men's sex hormones,
    formed in a male body. However, their concentration is not great, and they
    quickly destroyed in the liver. Meaning in the development of gynecomastia has no
    Only an absolute increase in the concentration of estrogen, but also their
    Preparation over androgenami. So, gynecomastia may occur as
    hyperproductions of female sex hormones and while lowering the level
    Male sex hormones, in particular testosterone.

    Gynecomastia: causes, diagnosis and treatment
    Estrogens in men can synthesize in the testicles. However, this
    The reason for the prevalence of estrogen meets not rarely. Most often
    Estrogens are synthesized from androgen. It happens in adipose tissue and
    liver. Such phenomena occur most often during the development of endocrine

    Most often gynecomastia occurs during periods
    «Hormonal rearrangements»:

    • In the period of newborn
    • With half maturation (from 12 to 15 years)
    • In old age (older than 45 years)

    Gynecomastia develops due to the use of some
    drugs. So, the most common gynecomastics cause corticosteroids, and
    Also: Anabolic Steroids, Spironolactone, Flutamide, Cimetidine,
    Ranitidine, isoniazide, creams with estrogen, methyloft, metoclopramide,
    Reserpine, marijuana, heroin, teofiline, amiodar, nifedipine, verapamil, tricyclic antidepressants, phenothiazides, digitoxine, ketoconazole, diazepam, methodo, phenytoin, metronidazole, captopril, enalapril.

    Danger of gynecomastia

    Gynecomastia for the most part spontaneously regress, and not
    Delivers any serious inconvenience for a man. However
    Long existence of gynecomastia increases the risk of cancer
    Breast. This disease occurs in men relatively
    rarely, but often leads to the same serious consequences as cancer
    Breasts in women. Suspicious in relation to milk cancer
    glands are such symptoms like bleeding out of the nipple,
    The appearance of a dense seal, skin change over education,
    The appearance of ulceration, increase the axillary lymph nodes.

    How gynecomastia is diagnosed

    Usually the diagnosis of gynecomastia is to examine the patient,
    clarifying the presence of possible causes of disease development. At
    There is no convincing causes analysis of blood for maintenance in
    Testosterone serum, estradiol, LH, FSH, prolactin, thyrotropin,
    Chorionic gonadotropin, hepatic enzymes, nitrogen, urea,
    Creatinina. Radiograph of the chest. With increasing
    Testosterone levels and chorionic gonadotropin is held
    Ultrasound examination of the testicles, it is possible to conduct a computer
    Tomography of adrenal glands.

    How is the treatment of gynecomastia

    Usually gynecomastia in adolescence regresses spontaneously. WITH
    The purpose of suppressing the high concentration of estrogen can be used
    Hormonal preparations - Tamoxifen, Clomiphene, Danazole,
    Dihydrotestosterone, testhakton.

    If under the action of treatment of inferior glands does not occur,
    then there is a need for operational treatment to eliminate
    Cosmetic Defect. Executed, as a rule, operational
    Intervention under general anesthesia.

    With false gynecomastia or true gynecomastia with fat
    reborn the patient's glandular fabric can disturb cosmetic
    defect. Eliminate the defect is possible only with the help of operational
    interventions. The operation includes the removal of breast tissue and how
    Rule Liposuction - removal of fat in zones adjacent to intervention.

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